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MS. KATIE E DANIEL MS/CCC/SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1679099261

Individual Registrant:
MS. KATIE E DANIEL MS/CCC/SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
405 S MAIN ST  IUKA, IL 62849-1011 US
Tel: 618-323-3233  Fax: --

Contact information for business:
1 CIRCLE DR APT 2  FLORA, IL 62839-2346 US
Tel: 618-662-0061  Fax: --

Registration Information:
NPI: 1679099261
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
IL146008074

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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